Missing teeth treatment options

1. RESIN BONDED BRIDGES/MARYLAND BRIDGES

Reasons for an adhesive bridge include,

  • Your appearance,
  • A gap left by a missing tooth; can mean greater strain on the teeth either side. A gap can also mean that your ‘bite’ is affected because the teeth next to space can lean into the gap and alter the way the upper and lower teeth bite together. This can then lead to food getting packed into the gaps which cause both decay and gum disease.

An adhesive bridge is a bridge which consists of a dummy tooth attached to a titanium wing. This wing glues onto the adjacent tooth. Adhesive bridges can also be fabricated with resin fibres and composite resin.

Only minimal preparation of the adjacent tooth is required. This is much healthier for the supporting tooth than removing a large amount of enamel and dentine in order to make a retaining crown. Adhesive bridges are also much less expensive than crown retained bridges.

Adhesive bridges can only be stuck in unfilled teeth or teeth with very small fillings. If a tooth is heavily filled then a crown retained bridge will be required.

An adhesive bridge cannot be fitted where a large number of teeth are due to be replaced.
Adhesive bridges do not last as long as crown retained bridges.

On average, the bridge will last around eight years. It will typically need re-cementing once during this period.

The retaining wing will probably feel very ‘high’ for the first few days. After a week or two, your opposing teeth will move slightly so that your ‘bite’ feels normal again.

2. CERAMIC BRIDGES

Your appearance is one of the important reasons to replace a missing tooth.  Another is that the gap left by a missing tooth can mean greater strain on the teeth on either side.  A gap can also mean your ‘bite’ is affected because the teeth next to space can lean into the gap and alter the way the upper and lower teeth bite together.  This can then lead to food getting packed into the gap, which causes both decay and gum disease.

Depending on the number of teeth missing and on where they are in the mouth.  The condition of the other teeth also affects the decision of how to replace the missing teeth.

There are three main ways to replace the missing teeth.

  • The first is with a removable false tooth or teeth – a partial denture.
  • The second is a fixed bridge.
  • The third option is to replace it with the help of dental implant and a crown/bridge.

A bridge is usually used where there are fewer teeth to replace, or when the missing teeth are only on one side of the mouth.

Bridge is a good option when you have enough strong teeth with good bone support.  We can help you decide the best way of replacing your missing teeth within your budget.

Bridges are usually made of a precious metal base.  If the bridge will show, porcelain is then bonded to the base. Sometimes, there are other non-precious metals used in the base to reduce the cost. With the advance in technologies bridges completely made of ceramic is also available to specified areas.

Although a bridge may seem expensive it will last many years.  It will also improve your appearance and bite.  A bridge uses the considerable skill of the dentist and technician, and in this way, it’s similar to ordering a piece of hand-made jewelry. The materials are also expensive so it’s fair to say a bridge will not be the cheapest treatment you have ever had.
You need to clean your bridge every day, to prevent problems such as bad breath and gum disease.  You also have to clean under the false tooth every day.  We can show you how to use special floss to clean a bridge as a normal toothbrush cannot reach.

3. REMOVABLE PARTIAL DENTURE

Your appearance is one of the important reasons to replace a missing tooth.  Another is that the gap left by a missing tooth can mean greater strain on the teeth on either side.  A gap can also mean your ‘bite’ is affected because the teeth next to space can lean into the gap and alter the way the upper and lower teeth bite together.  This can then lead to food getting packed into the gap, which causes both decay and gum disease.

Depending on the number of teeth missing and on where they are in the mouth.  The condition of the other teeth also affects the decision of how to replace the missing teeth.

There are three main ways to replace the missing teeth.

  • The first is with a removable false tooth or teeth – a partial denture.
  • The second is a fixed bridge.
  • The third option is to replace it with the help of dental implant and a crown/bridge.
    Removable partial dentures can be fixed (partially) by other methods, such as using a combination of crowns and partial dentures that can keep the retaining clips out of sight. These are quite specialised dentures.  Come and see us today to know more options and to have a healthy beautiful smile.

Removable partial dentures can be fabricated out of,

  • Full  acrylic – rigid
  • Full  acrylic – flexible
  • The combination of acrylic and chrome metal alloy

Which suits better can be discussed and determined by your dentist.

4. IMPLANTS TO REPLACE THE MISSING TEETH